Français
Classification, indications et soins infirmiers des tubes de drainage abdominal
Créé le 11.18
1. Classification
- Skin Tubes
- Specialized Drainage Tubes
2. Indications
- Perforation or traumatic rupture of hollow visceral organs
- Abscesses within the peritoneum or visceral organs
- Large surgical wounds with significant local exudate or bleeding
3. Nursing Care
I. Monitoring and Documentation
- Assess the number and types of drainage devices/tubes placed intra-abdominally based on the patient’s condition. Upon transfer to the ward, conduct a thorough count and label each tube according to its function or name before connecting to drainage bottles.
II. Observation of Drainage Characteristics
- Record the properties and volume of drained fluid. Promptly replace wet outer dressings and estimate fluid loss. If no drainage is observed, suspect tube obstruction. Notify the physician immediately if drainage consists of rapid or excessive blood flow.
III. Prevention of Tube Displacement
- Ensure tubes remain secure during patient repositioning, ambulation, or defecation. Replace dislodged tubes with new ones.
IV. Negative Pressure Drainage Management
- Adjust and maintain prescribed negative pressure levels for patients requiring suction drainage.
V. Hemostatic Packing Monitoring
- Closely observe patients with gauze or petroleum jelly-impregnated gauze packing for hemostasis. Remove packing after 48–72 hours if hemodynamic stability is achieved; otherwise, replace with fresh gauze.
VI. Timing of Prophylactic Tube Removal
- Remove prophylactic drainage tubes after 48–72 hours. For tubes preventing digestive fluid leakage after anastomotic rupture, remove after 4–6 days. For peritonitis-related abscess drainage, adjust removal timing based on clinical progress.
VII. Prevention of Secondary Injury
- Rotate skin tubes every 2–3 days if prolonged placement is necessary to avoid pressure-induced tissue damage.
VIII. Aseptic Technique for Medication/Irrigation
- Strictly adhere to sterile protocols when administering antibiotics or performing tube irrigation.
IX. Complication Management
- Promptly remove or replace tubes if complications arise, such as tissue necrosis, hemorrhage, enteric fistula, secondary infection, or severe pain.
X. T-Tube Management Post-Cholecystectomy
- Remove T-tubes 14 days postoperatively to prevent bile leakage into the peritoneal cavity, which may cause peritoneal irritation or infection.
Contact
Laissez vos informations et nous vous contacterons.